- Dr Arnold reports that survey of neuro-ophthalmologists almost never use it

Dr Kazim: does Raider's syndrome exist or were they small dissections that were being missed?

- Dr Arnold: original cases a small mass

Dr Macintosh: Horners associated with subclavian line in ICU, recoverable?

- Dr Arnold, variable

- Dr Cockerham finds chiropractic manipulation, high velocity roller coaster as things to check in your history for Horners

What is your management of atypical optic neuritis if everything normal on work up; do you use steroids?

- Dr Arnold agrees to trial of steroids. Warns that some patients have Sarcoid that could show some response to steroid. Most recent aypical optic neuritis for him was a patient with an adult glioma; thought it was sarcoid, did workup, gave steroid trial, optic nerve got bigger and more enhancing and turned out to be optic nerve glioma.

WholeLottaRob

I started this site in 2009 to write about Glaucoma, Health IT (EMR, EHR), Technology and to host my podcast series "Talking About Glaucoma." There is a shortcut to this blog to make it easier to find http://iguy.tv/blog.

I am a glaucoma sub-specialized Ophthalmologist and have a full time clinical practice at the Dartmouth-Hitchcock Clinic of the Geisel School of Medicine in Hanover, NH. I have a longtime interest in the use of technology to help in medical care as well as in Education. In addition, I was a very early adopter and developer of Electronic Medical Record systems who has lectured internationally on the topic of making the transition to EMRs in daily practice.